Læknablaðið - 15.07.2010, Side 28

FRÆÐIGREINAR
SJÚKRATILFELLl
Þakkir og leyfi
Þakkir fá Anna Ellen Douglas ljósmyndari á
Landspítala og Margrét Sturludóttir læknir fyrir
hjálp við gerð myndefnis. Sjúklingurinn gaf
skriflegt leyfi fyrir birtingu þessa tilfellis, bæði
texta og mynda.
Heimildir
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Constrictive pericarditis with severe heart failure - a case report
and review of the literature
Constricitve pericarditis is an uncommon condition, often
of unknown etiology but can be caused by infections, such
as tuberculosis, inflammation of the pericardium, radiation
therapy or asbestos exposure. Constrictive pericarditis is
characterized by fibrosis and often severe calcifications
of the pericardial sac which eventually restricts normal
diastolic filling of the heart. This consequently leads to
a combination of left and right heart failure, often with
prominent jugular venous distentsion, liver enlargement,
peripheral edema and lethargy. Diagnosis can be difficult
and is often delayed. Surgery, involving partial removal of
the pericardial sac, usually leads to relief of symptoms.
Here we report a case from Landspitali together with a
review of the literature.
Einarsson JT, Danielsen R, Indridason OS, Gudbjartsson T.
Constrictive pericarditis with severe heart failure - a case report and review of the literature. Icel J Med 2010; 96: 475-80.
Key words: Constrictive pericarditis, cardiac failure, oedema, echocardiography, cardiac cathederization, pericardectomy.
Correspondence; Tómas Guðbjartsson, tomasgud@landspitali.is
480 LÆKNAblaöið 2010/96
Barst: 28. nóvember 2009, - samþykkt til birtingar: 1. júní 2010
Hagsmunatengsl: Engin